DONATIONS

Name *

First

Last

Address *

Street Address

Address Line 2

City

State

Zip Code

Country

Email *

Phone *

Donation Amount *

Donation Frequency *

One-TimeMonthlyQuarterlyAnnually

Processing Fees

Do you want to cover the payment transaction fees?

Yes, I would like to help cover the transaction fees for my donation

Fund Selection

I would like to designate this donation to a specific fund:

Comments to Empowering Champions:

Is this in honor of someone?

YesNo

Is this in memory of someone?

YesNo

Fund Designation

Honoree's Name *

First

Last

Honoree's Email *

Write a custom note to the Honoree here:

Honoree's Address *

Street Address

Address Line 2

City

State

Zip Code

Country

Fund Designation

In Memory Of: *

First

Last

Family Member's Email *

Write a custom note to the family here:

May we list your donation on our website and in our marketing?

YesNo

How Should We Recognize Your Donation?

Name to appear on promotional material:

Total Donation Amount

Credit or Debit card

Donate by Phone:

For more information on making a donation, please contact us at info@empoweringchampions.org or by phone at (561) 703-3065

Donate by Mail:

To donate by mail simply mail your check to:

Champions Empowering Champions, Inc.
P.O. Box 880476
Boca Raton, FL 33488-0476

Champion Empowering Champions is a registered 501(c)3 nonprofit corporation and all donations are tax deductible to the fullest extent allowed by law.

Corporate Drives & Sponsorship Opportunities:

For more information on planning a corporate drive to benefit Champions Empowering Champions, please contact us at info@empoweringchampions.org or by phone at (561) 703-3065

Thank You For Being A CHAMPION!

Your raffle ticket(s) will be mailed to the address provided within 3 business days!

Donations

Name *

Address *

Email *

Phone *

Donation Amount *

Donation Frequency *

Processing Fees

Do you want to cover the payment transaction fees?

Fund Selection

I would like to designate this donation to a specific fund:

Comments to Empowering Champions:

Is this in honor of someone?

Is this in memory of someone?

Fund Designation

Honoree's Name *

Honoree's Email *

Write a custom note to the Honoree here:

Honoree's Address *

Fund Designation

In Memory Of: *

Family Member's Email *

Write a custom note to the family here:

May we list your donation on our website and in our marketing?

How Should We Recognize Your Donation?

Total Donation Amount

Donate by Phone:

Donate by Mail:

Corporate Drives & Sponsorship Opportunities:

Thank You For Being A CHAMPION!

FALL 2022
FINE DINING RAFFLE

Grand Prize
TEN (10) – $100 GIFT CERTIFICATES

Thank You For Being A CHAMPION!